Individual
MRS. REGINA MARIE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Mailing address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C006066
NC
1041C0700X
Clinical Social Worker
LCS19478
CA
Other
Enumeration date
04/10/2007
Last updated
02/10/2011
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